Individual provider Active NPI

Charlotte U Kennedy, OT

  • Occupational Therapist
  • Kihei, HI
National Provider Identifier
1043534381
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-518 Issued in HI
Practice address
1325 S Kihei Rd Ste 102
Kihei, HI 96753-8145
Phone
(907) 622-6363
Fax
(907) 622-6366
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-518 HI Primary

Addresses

Primary practice location

1325 S Kihei Rd Ste 102
Kihei, HI 96753-8145

Mailing address

1325 S Kihei Rd
Ste 102
Kihei, HI 96753-8145
Phone (808) 269-1720

Other practice location 1

80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000

Other names 1

  • Charlotte C Unemori Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000870 HI Practitioner - Occupational Therapist in Private Practice 5698803583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Hand Therapy, LLCGroup PAC ID 4587077102, 2 clinicians

Practice addresses (Care Compare)

1325 S Kihei Rd
Suite 102
Kihei, HI 96753-8145
Phone (808) 269-1720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-518HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Hand Therapy, LLC Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

1325 S Kihei Rd
Ste 102
Kihei, HI 96753
Phone (808) 269-1720

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1043534381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S KIHEI RD",
            "address_2": "STE 102",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538145",
            "telephone_number": "808-269-1720",
            "fax_number": "866-431-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S KIHEI RD STE 102",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538145",
            "telephone_number": "907-622-6363",
            "fax_number": "907-622-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932531",
            "country_code": "US",
            "telephone_number": "808-243-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CHARLOTTE",
        "middle_name": "U",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "UNEMORI",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.